Organization
GOODE AND JOHNSON DENTISTRY PARTENRSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL R GOODE D.D.S. (GENERAL DENTIST)
(586) 725-5500
Entity
Organization
Contact information
Practice address
34301 23 MILE RD, SUITE 140A, CHESTERFIELD, MI 48047-4432
(586) 725-5500
(586) 725-8172
Mailing address
34301 23 MILE RD, SUITE 140A, CHESTERFIELD, MI 48047-4432
(586) 725-5500
(586) 725-8172
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901012324
MI
1223G0001X
General Practice Dentistry
2901019573
MI
Other
Enumeration date
12/30/2008
Last updated
12/30/2008
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